NRNP 6675 FINAL EXAM it it it it
PMHNP Care Across the Lifespan II - Walden University
it it it it it it it it
Actual Qs and Ans Expert-Verified Explanation
it it it it it
This Exam contains:
it it
❖ Guarantee passing score it it
❖ 100 Questions and Answers
it it it
❖ format set of multiple-choice
it it it
❖ Expert-Verified Explanation it
❖ it
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1.itConcernsitwhenittreatingitgeriatricitpatientsitwithitpsychotherapeuticitdrugs?it(Sele
ctitallittrueitstatements)itit
itititA.itElderlyitpeopleitcanitbeitmoreitsusceptibleittoitadverseiteffectsitofitdrugsitit
itititB.itElderlyitpersonsitmayitmetabolizeitdrugsitmoreitslowlyitit
itititC.itElderlyitpersonsitmayitmetabolizeitdrugsitmoreitrapidlyitit
itititD.itElderlyitpeopleitmayitexcreteitpsychotherapeuticitdrugsitmoreitslowlyitit
ititit Answer:itA,itB,itDitit
Rationale:itGeriatricitpopulationsitoftenithaveitdecreasedithepaticitmetabolismitandit
ititit
reduceditrenalitclearance,itprolongingitdrugithalf-
livesitanditincreasingittoxicityitrisk.itTheyitareitmoreitsusceptibleittoitsideiteffectsit(A),itm
etabolizeitdrugsitmoreitslowlyit(B),itanditexcreteitthemitmoreitslowlyit(D).itTheyittypically
itdoitnotitmetabolizeitdrugsitmoreitrapidlyit(C).
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2.itThreeitmajoritneurotransmittersitassociateditwithitanxiety,itbaseditonitanimalitstudi
esitanditdrugitresponses,itinclude:itit
itititA.itDopamine,itacetylcholine,itanditsubstanceitPitit
itititB.itGABA,itnorepinephrine,itanditserotoninitit
itititC.itGlycine,itdopamine,itandithistamineitit
itititD.itEndorphins,itglutamate,itanditepinephrineitit
ititit Answer:itB)itGABA,itnorepinephrine,itanditserotoninitit
Rationale:itAnxietyithasitbeenitmostitconsistentlyitlinkedittoitdecreaseditinhibitoryite
ititit
ffectsitofitGABA,itdysregulationitofittheitstress/fight-or-
flightitneurotransmitteritnorepinephrine,itanditalterationsitinitserotonin.itMedication
sittargetingittheseitsystemsit(e.g.,itbenzodiazepinesitenhancingitGABA,itSSRIs/SNRIsitr
egulatingitserotonin/norepinephrine)itareitmainstaysitofitanxietyittreatment.
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3.itWhichitneurotransmitteritisitmostitcommonlyitassociateditwithitincreaseditlibido?itit
itititA.itAcetylcholineitit
itititB.itGABAitit
itititC.itSerotoninitit
,ititit D.itDopamineitit
ititit Answer:itD)itDopamineitit
Rationale:itDopamineitinittheitmesolimbicitrewarditpathwayitisitcloselyitlinkedittoitmo
ititit
tivation,itpleasure,itanditsexualitdesire.itHeighteneditdopaminergicitactivityitcanitincre
aseitlibido.itInitcontrast,itelevateditserotoninittendsittoitinhibititsexualitdesire.
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4.itConcernsitwhenittreatingitgeriatricitpatientsitwithitpsychotherapeuticitdrugsitinclud
eitallitofittheitfollowingitEXCEPT:itit
itititA.itIncreaseditsensitivityittoitadverseiteffectsitit
itititB.itLoweritrenalitexcretionitit
itititC.itElderlyitpersonsitmayitmetabolizeitpsychotherapeuticitdrugsit moreitrapidlyitit
itititD.itComorbidithealthitconditionsitaffectingitdrugitchoiceitit
Answer:itC)itElderlyitpersonsitmayitmetabolizeitpsychotherapeuticitdrugsitmoreitrapi
ititit
dlyitit
Rationale:itInitmostitolderitadults,ithepaticitmetabolismitanditrenalitexcretionitslowitd
ititit
own,itfosteringitgreateritvulnerabilityittoitadverseiteffects.itOptionitCitisittheitexception,
itasittheyittypicallyitdoitnotitmetabolizeitdrugsitmoreitrapidly;itrather,itmetabolismitisitus
uallyitreduced.
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5.itPersonsitwhoitsubordinateittheiritownitneedsittoitothers,itletitothersitassumeitrespon
sibilityitforitmajoritlifeitareas,itlackitself-
confidence,itanditexperienceitintenseitdiscomfortitaloneitareitdemonstratingitcharact
eristicsitofitwhichitpersonalityitdisorderit(PD)?itit
itititA.itAvoidantitPDitit
itititB.itBorderlineitPDitit
itititC.itDependentitPDitit
itititD.itNarcissisticitPDitit
ititit Answer:itC)itDependentitPDitit
, Rationale:itDependentitPersonalityitDisorderitisitmarkeditbyitpervasiveitdependencei
ititit
tonitothersitforitdecisionsitanditsupport,itfearitofitbeingitalone,itanditsubmissiveitbehavi
ors.itTheseitindividualsitareithighlyitreliantitonitreassuranceitfromitothers.
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6.itAccordingittoitHarryitStackitSullivan,itwhichitstatementitisitmostitconsistentitwithitait
mentor–menteeitrelationship?itit
itititA.itMentorsitareitstrictlyitassigneditit
itititB.itMentoritrelationshipsitareitalwaysitshort-termitit
itititC.itGoalsitforittheitmentoringitrelationshipit areitsetitmutuallyitit
itititD.itAitanditBitonlyitit
ititit Answer:itC)itGoalsitforittheitmentoringitrelationshipitareitsetitmutuallyitit
Rationale:itSullivan’sitinterpersonalittheoryitsuggestsitgrowthitthroughitsignificantit
ititit
relationships.itEffectiveitmentorshipitinvolvesitcollaborationitinitgoal-
settingittoitmeetittheitmentee’siteducationalitoritprofessionalitneeds.
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7.itTheitneeditforitNurseitPractitionersit(NPs)ittoitpracticeittoittheitfullitextentitofittheirited
ucationitandittrainingitisitnecessary.itSelectittheitbestitAnswer:itit
itititA.itTrue,itbecauseitititoptimizesitpatientitcareitit
itititB.itFalse,itbecauseitNPsitshoulditalwaysitworkitunderitmaximumitrestrictionitit
itititC.itTrue,itbutitonlyitifitpracticingitinitaithospitalitit
itititD.itAllitofittheitaboveitit
ititit Answer:itD)itAllitofittheitaboveit(perittheitoriginalititem’sitframing)itit
Rationale:itNumerousitprofessionalitorganizationsitemphasizeitremovingitunneces
ititit
saryitrestrictionsitsoitNPsitcanitprovideithigh-
qualityitcare.itPracticingittoittheitfullitextentitofittheiritlicensureitanditscopeitmaximizesit
patientitoutcomesitanditclosesithealthcareitgaps.
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8.itWhenitanitARNPitisitassessingitlifestyleitasitaitsocialitdeterminantitofithealth,itwhichitq
uestionitisitmostitpertinent?itit
itititA.itDietitit
PMHNP Care Across the Lifespan II - Walden University
it it it it it it it it
Actual Qs and Ans Expert-Verified Explanation
it it it it it
This Exam contains:
it it
❖ Guarantee passing score it it
❖ 100 Questions and Answers
it it it
❖ format set of multiple-choice
it it it
❖ Expert-Verified Explanation it
❖ it
,───────────────────────────────────────────────────────
─────────────────
1.itConcernsitwhenittreatingitgeriatricitpatientsitwithitpsychotherapeuticitdrugs?it(Sele
ctitallittrueitstatements)itit
itititA.itElderlyitpeopleitcanitbeitmoreitsusceptibleittoitadverseiteffectsitofitdrugsitit
itititB.itElderlyitpersonsitmayitmetabolizeitdrugsitmoreitslowlyitit
itititC.itElderlyitpersonsitmayitmetabolizeitdrugsitmoreitrapidlyitit
itititD.itElderlyitpeopleitmayitexcreteitpsychotherapeuticitdrugsitmoreitslowlyitit
ititit Answer:itA,itB,itDitit
Rationale:itGeriatricitpopulationsitoftenithaveitdecreasedithepaticitmetabolismitandit
ititit
reduceditrenalitclearance,itprolongingitdrugithalf-
livesitanditincreasingittoxicityitrisk.itTheyitareitmoreitsusceptibleittoitsideiteffectsit(A),itm
etabolizeitdrugsitmoreitslowlyit(B),itanditexcreteitthemitmoreitslowlyit(D).itTheyittypically
itdoitnotitmetabolizeitdrugsitmoreitrapidlyit(C).
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2.itThreeitmajoritneurotransmittersitassociateditwithitanxiety,itbaseditonitanimalitstudi
esitanditdrugitresponses,itinclude:itit
itititA.itDopamine,itacetylcholine,itanditsubstanceitPitit
itititB.itGABA,itnorepinephrine,itanditserotoninitit
itititC.itGlycine,itdopamine,itandithistamineitit
itititD.itEndorphins,itglutamate,itanditepinephrineitit
ititit Answer:itB)itGABA,itnorepinephrine,itanditserotoninitit
Rationale:itAnxietyithasitbeenitmostitconsistentlyitlinkedittoitdecreaseditinhibitoryite
ititit
ffectsitofitGABA,itdysregulationitofittheitstress/fight-or-
flightitneurotransmitteritnorepinephrine,itanditalterationsitinitserotonin.itMedication
sittargetingittheseitsystemsit(e.g.,itbenzodiazepinesitenhancingitGABA,itSSRIs/SNRIsitr
egulatingitserotonin/norepinephrine)itareitmainstaysitofitanxietyittreatment.
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3.itWhichitneurotransmitteritisitmostitcommonlyitassociateditwithitincreaseditlibido?itit
itititA.itAcetylcholineitit
itititB.itGABAitit
itititC.itSerotoninitit
,ititit D.itDopamineitit
ititit Answer:itD)itDopamineitit
Rationale:itDopamineitinittheitmesolimbicitrewarditpathwayitisitcloselyitlinkedittoitmo
ititit
tivation,itpleasure,itanditsexualitdesire.itHeighteneditdopaminergicitactivityitcanitincre
aseitlibido.itInitcontrast,itelevateditserotoninittendsittoitinhibititsexualitdesire.
───────────────────────────────────────────────────────
─────────────────
4.itConcernsitwhenittreatingitgeriatricitpatientsitwithitpsychotherapeuticitdrugsitinclud
eitallitofittheitfollowingitEXCEPT:itit
itititA.itIncreaseditsensitivityittoitadverseiteffectsitit
itititB.itLoweritrenalitexcretionitit
itititC.itElderlyitpersonsitmayitmetabolizeitpsychotherapeuticitdrugsit moreitrapidlyitit
itititD.itComorbidithealthitconditionsitaffectingitdrugitchoiceitit
Answer:itC)itElderlyitpersonsitmayitmetabolizeitpsychotherapeuticitdrugsitmoreitrapi
ititit
dlyitit
Rationale:itInitmostitolderitadults,ithepaticitmetabolismitanditrenalitexcretionitslowitd
ititit
own,itfosteringitgreateritvulnerabilityittoitadverseiteffects.itOptionitCitisittheitexception,
itasittheyittypicallyitdoitnotitmetabolizeitdrugsitmoreitrapidly;itrather,itmetabolismitisitus
uallyitreduced.
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─────────────────
5.itPersonsitwhoitsubordinateittheiritownitneedsittoitothers,itletitothersitassumeitrespon
sibilityitforitmajoritlifeitareas,itlackitself-
confidence,itanditexperienceitintenseitdiscomfortitaloneitareitdemonstratingitcharact
eristicsitofitwhichitpersonalityitdisorderit(PD)?itit
itititA.itAvoidantitPDitit
itititB.itBorderlineitPDitit
itititC.itDependentitPDitit
itititD.itNarcissisticitPDitit
ititit Answer:itC)itDependentitPDitit
, Rationale:itDependentitPersonalityitDisorderitisitmarkeditbyitpervasiveitdependencei
ititit
tonitothersitforitdecisionsitanditsupport,itfearitofitbeingitalone,itanditsubmissiveitbehavi
ors.itTheseitindividualsitareithighlyitreliantitonitreassuranceitfromitothers.
───────────────────────────────────────────────────────
─────────────────
6.itAccordingittoitHarryitStackitSullivan,itwhichitstatementitisitmostitconsistentitwithitait
mentor–menteeitrelationship?itit
itititA.itMentorsitareitstrictlyitassigneditit
itititB.itMentoritrelationshipsitareitalwaysitshort-termitit
itititC.itGoalsitforittheitmentoringitrelationshipit areitsetitmutuallyitit
itititD.itAitanditBitonlyitit
ititit Answer:itC)itGoalsitforittheitmentoringitrelationshipitareitsetitmutuallyitit
Rationale:itSullivan’sitinterpersonalittheoryitsuggestsitgrowthitthroughitsignificantit
ititit
relationships.itEffectiveitmentorshipitinvolvesitcollaborationitinitgoal-
settingittoitmeetittheitmentee’siteducationalitoritprofessionalitneeds.
───────────────────────────────────────────────────────
─────────────────
7.itTheitneeditforitNurseitPractitionersit(NPs)ittoitpracticeittoittheitfullitextentitofittheirited
ucationitandittrainingitisitnecessary.itSelectittheitbestitAnswer:itit
itititA.itTrue,itbecauseitititoptimizesitpatientitcareitit
itititB.itFalse,itbecauseitNPsitshoulditalwaysitworkitunderitmaximumitrestrictionitit
itititC.itTrue,itbutitonlyitifitpracticingitinitaithospitalitit
itititD.itAllitofittheitaboveitit
ititit Answer:itD)itAllitofittheitaboveit(perittheitoriginalititem’sitframing)itit
Rationale:itNumerousitprofessionalitorganizationsitemphasizeitremovingitunneces
ititit
saryitrestrictionsitsoitNPsitcanitprovideithigh-
qualityitcare.itPracticingittoittheitfullitextentitofittheiritlicensureitanditscopeitmaximizesit
patientitoutcomesitanditclosesithealthcareitgaps.
───────────────────────────────────────────────────────
─────────────────
8.itWhenitanitARNPitisitassessingitlifestyleitasitaitsocialitdeterminantitofithealth,itwhichitq
uestionitisitmostitpertinent?itit
itititA.itDietitit
